The following steps represent
my plan for increasing my safety and preparing in advance for the possibility for further violence. Although I do not have
control over my partner's violence, I do have a choice about how to respond to him/her and how to best get myself and
my children to safety.

STEP 1: Safety during a violent incident. Women cannot always avoid violent incidents. In order
to increase safety, battered women may use a variety of strategies.

I can use some or all of the following strategies:

If I decide to leave I will ______________________________________(Practice
how to get out safely. What doors, windows, elevators, stairwells or fire escapes would you use ?)

I can keep my purse and car keys ready and (place)____________________________________________
in order to leave quickly.

I can tell _____________________________ about the violence
and request they call the police if they hear suspicious noises coming from my house.

I can teach my children how to use the telephone to contact
the police and the fire department.

I will use ________________________ as my code word with
my children or my friends so they can call for help.

If I have to leave my home, I will go _______________________________________
(Decide this even if you don't think there will be a next time.)

If I cannot go to the location above, then I can go___________________________or______________________________________________

I can also teach some of these strategies to some/all of
my children.

When I expect we are going to have an argument, I will
try to move to a space that is lowest risk, such as ______________________________________________.(Try to avoid arguments
in the bathroom, garage, kitchens, near weapons or in rooms without access to an outside door.)

I will use my judgment and intuition. If the situation
is very serious, I can give my partner what he/she wants to calm him/her down. I have to protect myself until I/we are out
of danger.

STEP 2: Safety When preparing
to leave. Battered women frequently leave the residence they share with the battering partner. Leaving must be done with a
careful plan in order to increase safety. Batterers often strike back when they believe that a battered woman is leaving a
relationship.

I can use some or all of the following safety strategies:

I will leave money and an extra set of keys with ________________
so I can leave quickly.

I will keep copies of important documents or keys at ____________________.

I will open a savings account by ______________________,
to increase my independence.

Other things I can do to increase my independence include:_______________

The domestic violence program's hotline number is _________________.

I can seek shelter by calling this number _______________.

I can keep change for phone calls on me at all times. I
understand that if I use my telephone credit card, the following month the telephone bill will tell my partner those numbers
that I called after I left. To keep my telephone communications confidential, I must either use coins or I might get a friend
to permit me to use their telephone credit card for a limited time when I first leave.

I will check with _______________________ and ______________________
to see who would be able to let me stay with them or lend me some money.

I can leave extra clothes with ____________________________________.

I will sit down and review my safety plan every _______________________
in order to plan the safest way to leave the residence. ____________________ has agreed to help me review this plan.

I will rehearse my escape plan, and as appropriate, practice
it with my children.

STEP 3: Safety in my own residence.
There are many things that a woman can do to increase her safety in her own residence. It may be impossible to do everything
at once, but safety measures can be added step by step.

Safety measures I can use include:

I can change the locks on my doors and windows as soon
as possible.

I can replace wooden doors with steel/metal doors.

I can install security systems including additional locks,
window bars, poles to wedge against doors, an electronic system, etc.

I can purchase rope ladders to be used for escape from
second floor windows.

I can install smoke detectors and purchase fire extinguishers
for each floor in my house/apartment.

I can install an outside lighting system that lights up
when a person is coming close to my house.

I will teach my children how to use the telephone to make
a collect call to me and to ___________________ (friend/relative/other) in the event that my partner takes the children.

I will tell people who take care of my children which people
have permission to pick-up my children and that my partner is not permitted to do so. The people I will inform about pick-up
permission include:

School __________________________________________________

Day care staff __________________________________________

Baby-sitter _____________________________________________

Sunday school teacher ___________________________________

Teacher__________________________________________________

and _____________________________________________________

Others __________________________________________________

Neighbors _______________________________________________

Pastor __________________________________________________

Friend __________________________________________________

I can inform my neighbor/pastor/friend/relative that my
partner no longer resides with me and that they should call the Police if he/she is observed near my residence.

STEP 4: Safety with a protection
order. Many people who batter obey protection orders, but one can never be sure which violent partner will obey and which
will violate protection orders. I recognize that I may need to ask the police and the courts to enforce my protection order.

The following are some steps that I can take to help the enforcement of my protection order:

I will keep my protection order ______________________________
(location). Always keep it on or near your person. If you change purses, that's the first thing that should go in.

I will give my protection order to police departments in
the community where I work, in those communities where I usually visit family or friends, and in the community where I live.

There is a state registry of protection orders that all
police departments can call to confirm a protection order. I can check with the police department to make sure my order is
in the registry.

I can call the local domestic violence program if I am
not sure about the above or if I have some problem with my protection order

I will inform my employer, my minister, my closest friend
_____________________ and _________________________________ and _______________________ that I have protection order in effect.

If my partner destroys my protection order, I can get another
copy from the courthouse where I received the original order.

If my partner violates the protection order, I can call
the police and report a violation, contact my attorney, call my advocate and/or advise the court of the violation. If the
police do not help, I can contact an advocate or my attorney and will file a complaint with the chief of the police department.

I can also file a private criminal complaint with the district
justice in the jurisdiction where the violation occurred or with the county attorney/city prosecutor. I can charge my partner
with a violation of the protective order and all the crimes he/she commits in violating the order. I can call the domestic
violence advocate to help me with this.

STEP 5: Safety on the job and
in public. Each battered woman must decide if and when she will tell others that her partner has battered her and that she
may be at continued risk. Friends, family and co-workers can help to protect women. Each woman should consider carefully which
people to invite to help and secure her safety.

I might do any or all of the following:

I can inform my boss, the security supervisor and ___________________
at work of my situation.

I can ask ________________________ to help screen my telephone
calls at work.

When leaving work, I can ____________________________________________________________________________________________________________

When driving home if problems occur, I can _________________________________________________________________________________________________________

If I use public transit, I can _________________________________________________________________________________________________________

I can use different grocery stores and shopping malls to
conduct my business and shop at hours that are different than those when residing with my battering partner.

I can use a different bank and take care of my banking
at hours different from those I used when residing with my battering partner.

I can also _______________________________________________________________

STEP 6: Safety and alcohol or
other drug use. Most people in this culture use alcohol. Many use other mood-altering drugs. Much of this use is legal and
some is not. The use of illegal drugs by a battered woman may hurt her relationship with her children and put her at a disadvantage
in legal actions with her battering partner. Therefore, women should carefully consider the potential cost of the use of illegal
drugs. But beyond this, the use of alcohol or other drugs can reduce a woman's awareness and ability to act quickly to protect
herself from her battering partner. Furthermore, the use of alcohol or other drugs by the batterer may give him/her an excuse
to use violence. Therefore, in the context of alcohol or other drug use, a woman needs to make specific safety plans.

If
alcohol or other drug use has occurred in my relationship with the battering partner, I can enhance my safety by some or all
of the following:

If I am going to use, I can do so in a safe place and with
people who understand the risk of violence and who are committed to my safety.

I can also _______________________________________________________________

If my partner is using, I can _______________________________________________

I might also _____________________________________________________________

STEP 7: Safety and my emotional
health. The experience of being battered and verbally degraded by partners is usually exhausting and emotionally draining.
The process of building a new life for myself takes much courage and incredible energy.

To conserve my emotional energy
and resources and to avoid hard emotional times, I can do some of the following:

If I feel down and ready to return to a potentially abusive
situation, I can ________________________________________________________________________

When I have to communicate with my partner in person or
by telephone, I can ______________________________________________________________________________________________________________________________________________________

I can try to use "I can…" statements with myself
and to be assertive with others.

I can tell myself "_______________________________________________"
whenever I feel others are trying to control or abuse me.

I can read ___________________________________ to help
me feel stronger.

I can call ______________________________________ , and
____________________ as other resources to be of support to me.

Other things I can do to help me feel stronger are _________________________
_______________________________________ , and _______________________________

I can attend workshops and support groups at the domestic
violence program or _________________________________ , _________________________________ , or _________________________________________
to gain support and strengthen my relationships with other people.

STEP 8: Items to take when leaving.
When women leave partners, it is important to take certain items with them. Beyond this, women sometimes give an extra copy
of papers and an extra set of clothing to a friend just in case they have to leave quickly.

Items with asterisks on
the following list are the most important to take. If there is time, the other items might be taken, or stored outside the
home.

These items might best be placed in one location, so that if we have to leave in a hurry, I can grab them quickly.